Hazen, Rebecca A
Hazen, Rebecca A is an sole proprietor health care provider with primary practice located at 11100 Euclid Avenue , Cleveland OH 44106. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Hazen, Rebecca A can be contacted via phone (216) 844-7700.Contact Information
Primary practice address
11100 Euclid Avenue
Cleveland OH 44106
Phone: (216) 844-7700
Fax: (216) 286-6341
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 6398 | Ohio |
Profile Details
| NPI number | 1457548125 |
|---|---|
| LBN Legal business name | Hazen, Rebecca A |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 26th, 2007 |
| Last updated | Jul 6th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457548125 | NPPES |
| Ohio | Other | 000000229448 | UNISON |
| Ohio | Other | 9229116 | UNISON |
| Ohio | MEDICAID | 2787113 | UNISON |
| Ohio | Other | 421801 | UNISON |
| Ohio | MEDICAID | 1021091480001 | UNISON |
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